Mrs Jessica Lynn Landry, NURSE PRACTITIONER | |
2390 W Congress Street, University Med Center, Lafayette, LA 70596 | |
(337) 261-6000 | |
Not Available |
Full Name | Mrs Jessica Lynn Landry |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2390 W Congress Street, Lafayette, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508975111 | NPI | - | NPPES |
1478890 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN100751 (Louisiana) | Primary |
Entity Name | Professional Emergency Medicine Management -- Lake Charles Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077 |
Entity Name | St Tammany Emergency Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843 |
Entity Name | Washington Parish Emergency Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538511043 PECOS PAC ID: 4284928094 Enrollment ID: O20160802001165 |
Entity Name | Acadiana Concern For Aids Relief Education And Support, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184146706 PECOS PAC ID: 9830465350 Enrollment ID: O20171026003377 |
Entity Name | Kp Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407315617 PECOS PAC ID: 6204166705 Enrollment ID: O20190926000585 |
Entity Name | Lsmd Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720623010 PECOS PAC ID: 9931537305 Enrollment ID: O20200318000564 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Lynn Landry, NURSE PRACTITIONER 112 Summertyme Drive, Youngsville, LA 70592 Ph: (337) 856-0973 | Mrs Jessica Lynn Landry, NURSE PRACTITIONER 2390 W Congress Street, University Med Center, Lafayette, LA 70596 Ph: (337) 261-6000 |
Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Michael Stephen Robichaux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Heymann Blvd Ste B, Lafayette, LA 70503 Phone: 337-289-8429 Fax: 337-289-8431 | |
Mrs. Brandi Rene Boutte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-769-0031 | |
Quartivia Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 General Gardner Ave, Lafayette, LA 70501 Phone: 337-232-9457 | |
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Erica Miller Piazza, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Settlers Trace Blvd Ste 100, Lafayette, LA 70508 Phone: 337-989-7272 | |
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586 |